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1775536428553815

This document is an application form for the Diploma in Youth Development Work (DYDW) at Bangladesh Open University. It includes sections for personal information, academic qualifications, and a declaration by the applicant. Additionally, it contains an admission slip for the applicant after submission.

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14 views1 page

1775536428553815

This document is an application form for the Diploma in Youth Development Work (DYDW) at Bangladesh Open University. It includes sections for personal information, academic qualifications, and a declaration by the applicant. Additionally, it contains an admission slip for the applicant after submission.

Uploaded by

sheikhmohammadismail58
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Bangladesh Open University

School of Agriculture and Rural Development (SARD)


Gazipur-1705 Attach three
For office use only :
Diploma in Youth Development Work (DYDW) copies of
Application Serial No. ....................... photograph
Date received ...................................... Application Form for DYDW Admission

Semester : Jan-June/July-Dec. Year : ..............


 Study Center : .................................................  Regional Center : ..............................................
1. Applicant’s name  (English) : .......................................................... (Bangla) : .....................................................
2. Father’s name  (English) : ........................................................... (Bangla) : .....................................................
3. Mother’s name  (English) : .......................................................... (Bangla) : .......................................................
4. Date of birth : .............................................. 5. Blood Group : ................... 6. Nationality : ..................................
7. Marital status: .......................... 8. Sex : ........................... 9. Smart Card /National ID No : ..................................
10. Permanent address : Village/Street ............................................................................................................................
P.O. .................................................................. Postal Code ...............................................
P.S./Upazilla .................................................. District .........................................................
11. Present address : Village/Street .........................................................................................................................
P.O. ................................................................... Postal Code ...............................................
P.S./Upazilla ...................................................... District .....................................................
Cell No................................................... ... E-mail (G-mail) ..............................................
Emergency contact (Name) ........................................... Cell . ...............................................
12. Academic qualifications :

Examination Name of Exam. Year of Exam. Board/University Roll/Student ID Division/


Class/CGPA
SSC/Equivalent
HSC/Equivalent
Degree/Equivalent

13. If the applicant is in-service, please fill up the followings


a. Present position : .......................................................................................................................................................
b. Name of the organization with address : ...................................................................................................................
14. Declaration :
I do hereby declare that : (a) the information mentioned in the application is true, if anything is proved to be false, my
candidature will automatically be cancelled; (b) I will abide by the rules and regulations of the university if admitted,
and (c) I will never take part in any activity subversive of the university, the state or of discipline.

Signature of the applicant with date


Signature of Admission Officer
Seal

....................................................................................................................................................................................................
Bangladesh Open University
School of Agriculture and Rural Development (SARD) Attach one
Gazipur-1705 copy photo
Diploma in Youth Development Work (DYDW)

DYDW Admission Slip


Semester : Jan-June/July-Dec. Year : ..............

Application Serial No. : ..........................................


Applicant’s name : .....................................................................
Study Center : ..........................................................
Signature of Admission Officer
Seal

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